Transitional Housing Application

Apply for Inside Out's Transitional Living Program — structured, supportive housing with access to therapy, skill-building, peer support, and substance use treatment.

* Required fields

About this program

Individuals will have access to therapy, skill-building, groups, peer support services, and weekly substance use treatment. Employment is a requirement of the program. All individuals will be subject to random drug testing and room searches.

Family Information

Number of Children

How many children living with you

Child Custody Order

Yes No

Are you pregnant or is a female pregnant with your baby?

Yes No

Essay Questions

Must be completed by applicant

What have you heard about Inside Out? Why are you interested in the transitional program? *

What steps have you taken to prepare for a transitional housing program? *

In the coming year, how will you prepare yourself for life placement? *

Goals

1 Month Goals

3 Month Goals

6 Month Goals

How to Achieve Goals

1 Month — How will you achieve your goals?

3 Months — How will you achieve your goals?

6 Months — How will you achieve your goals?

How do you deal with anger?

How do you deal with stress?

How do you deal with authority figures?

How do you handle peer pressure?

How do you get along with others?

100-word essay about yourself

Certification

I certify that the above information included on this application is true and correct. *

Your referral will be reviewed by the Inside Out team. You will be contacted regarding approval or denial.

Transitional Housing Application

Applicant Information

Demographic Information

Family Information

Financial Information

Employment & Education

Living Situation & Criminal History

Health Information

Essay Questions

Certification